‍Biopsy

• 40490 Biopsy lip
• 40808 Biopsy vestibule
• 41100 Biopsy anterior tongue
• 41105 Biopsy posterior tongue
• 41108 Biopsy floor of mouth
• 42100 Biopsy palate soft tissue
• 20245 Biopsy maxilla hard tissue
• 20240 Biopsy mandible hard tissue​
• 20200 Biopsy, Muscle, Superficial
• 20245: Deep bone open biopsy (bone deep to muscular tissue)

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‍Ablation

• 31600 Tracheostomy
• 31525 Direct laryngoscopy
• 41120 Partial glossectomy
• 41130 Hemi glossectomy
• 41116 Excision Floor of mouth
• 21044 Marginal mandibulectomy cancer
• 21045 Segmental mandibulectomy cancer
• 21047 Segmental mandibulectomy benign
• 21040 Excision benign tumor of mandible, eucleation curettage
• 31225 Maxillectomy cancer
• 21025 Excision of mandibular bone (i.e. for osteomyelitis)
• 21030 Maxillectomy benign
• 21030 Excision benign tumor maxilla, enucleation curettage​
• 21034 Maxillectomy - Excision Malig Tum/Cyst Max
• 42120 Resection of soft palate
• 42415 Superficial Parotidectomy w facial nerve dissection
• 11011 Debridement of bone
• 42420 Total Parotidectomy w facial nerve dissection
• 40820 Laser ablation dysplasia​
• 31225 Maxillectomy Without Orbital Exenteration
• 21044 Marginal Mandibulectomy
• 21045 Segmental Mandibulectomy
• 21070 Coronoidectomy
• 38700 Supraomohyoid lymph node dissection
• 38724 Modified Radial Neck Dissection
• 38720 Radical Neck Dissection
• 40520 Lip excision
• 41155 Composite procedure with resection of floor of mouth, mandibular resection, and neck dissection
• 42415 Superficial Parotidectomy with CN VII preservation
• 42420 Total Parotidectomy with CN VII preservation
• 42440 Excision Submandibular gland
• 42450 Excision Sublingual gland
• 88331 Pathology consultation during surgery

‍Reconstruction

• 15758 Radial Forearm free flap (soft tissue)
• 20969 Fibula free flap (osteocutaneous)
• 21244 Subperiostesal plate
• 15734 Pectoralis flap
• 42145 Pharyngoplasty
• 15100 STSG extremity​
• 15120 Harvest skin split thick
• 15757 Radial Forearm free flap
• 15758 Anterolateral thigh flap
• 20955 Bone-only fibula free flap
• 15120 STSG face
• 15220 Full thickness skin graft
• 21209 Osteoplasty
• 15740 Island Pedicle flap
• 21076 Surgical obturator placement
• 14040 Soft tissue rearrangement
• 42505 Sialodolchoplasty
• 21215 Allograft, bone graft
• 21497 Interdental fixation​

• 21244 Reconstruction of mandible - extraoral approach, with plate application
• 35701 Carotid Exploration
• 15733 Muscle myocutaneous head and neck / Submental island flap
• 15734 Muscle myocutaneous; trunk / PEC / Supraclavicular flap
• 14041 Local tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm
• 21209 Osteoplasty of facial bone with reduction Incision and repair of bony defect of cheek bone including bony segment reduction OSTEOPLASTY FACIAL BONES REDUCTION
• 69990 Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)
• 29515 Leg splint application
• 29125 Application of short arm splint, forearm to hand; static.
• 97605 Wound vac application < 50cm SQ​

Diagnostic Procedures

• 31526 Laryngoscopy; diagnostic with operating microscope or telescope
• 31622 Bronchoscopy, diagnostic
• 43200 Esophagoscopy, flexible, transoral; diagnostic including collections of specimens by brushings or washing when performed

​Revision

• 11042 Flap debulking
• 21248 Dental implants (1-3)
• 21249 Dental implants (4 or more)
• 40840 Vestibuloplasty anterior
• 40842 Vestibuloplasty posterior
• 40844 Vestibuloplasty entire
• 20680 Hardware removal
• C9290 Injection of Expiril
• 41850 Laser hair removal at flap

‍Odontogenic infections

• 40801 vestibular complicated
• 41006 intraoral sublingual
• 41007 intraoral submental
• 41008 intraoral submandibular
• 41009 intraoral masticator
• 41015 extraoral sublingual
• 41016 extraoral submental
• 41017 extraoral submandibular
• 41018 extraoral masticator
• 42720 extraoral lateral and retropharyngeal
• 10140 hematoma evacuation
• 10061 facial infection complex
• 10180 post operative wound infection

‍Mandible fractures

• 21453 Closed treatment of mandibular fracture with interdental fixation
• 21454 Open treatment of mandibular fracture with external fixation
• 21462 Open treatment of mandibular fracture with interdental fixation
• 21470 Open treatment of complicated mandibular facture by multiple approaches

‍Midface fractures

• 21365 ZMC through multiple approaches
• 21423 complex lefort i
• 21407 orbital floor reconstruction
• 21338 orif NOE
• 21344 orif frontal sinus with multiple approaches, coronal complicated
• 21282 lateral canthopexy

‍Bone graft

• 20902 Bone graft, major or large

​Laceration

• 40831 Closure of laceration complex

‍Orthognathic

• 21085 Oral Surgical Splint
• 21110 Apply Arch Bars
• 21141 Max osteotomy , 1 seg w/o graft
• 21142 Max osteotomy , 2 seg w/o graft
• 21143 Max osteotomy , 3 seg, w/o graft
• 30520 Septoplasty [Only used if a LeFort procedure is done]
• 21196 Mandibular sagittal split osteotomy
• 21193 Mandibular rami, horizontal, vertical, C or L osteotomy; without bone graft
• 21199 - Genioglossus advancement
• 64400 Local anesthesia for non-opioid pain control
• 41115 Labial Frenectomy [Only used if a LeFort procedure is done]
• 14041 Local tissue re-arrangement / V-Y closure [Only used if a LeFort procedure is done]
• 76377 - 3D post-processing images are reconstructed on an independent workstation with concurrent physician supervision.

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Cosmetic

• 11920: Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less
• 11921: 6.1 to 20.0 sq cm
• 11922: each additional 20.0 sq cm
• 11960: Insertion of tissue expander(s) for other than breast, including subsequent expansion
• 11970: Replacement of tissue expander with permanent prosthesis
• 11971: Removal of tissue expander(s) without insertion of prosthesis
• 15750: Flap; neurovascular pedicle
• 15760: Graft; composite (e.g., full thickness of ear or nasal ala), including primary closure; donor area
• 15770: derma-fat fascia
• 15786: Abrasion; single lesion (e.g., keratosis, scar)
• 15787*: each additional four lesions or less
• 15819: Cervicoplasty
• 15820: Blepharoplasty, lower eyelid;
• 15821: with extensive herniated fat pad
• 15822: Blepharoplasty, upper eyelid;
• 15823: with excessive skin weighting down lid
• 15830: Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
• 15847: Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (e.g., abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure)
• 17106: Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm
• 17107: 10.0 to 50.0 sq cm
• 17108: over 50.0 sq cm
• 20912: Cartilage graft; nasal septum
• 21120: Genioplasty; augmentation (autograft, allograft, prosthetic material)
• 21121: sliding osteotomy, single piece
• 21122: sliding osteotomies, two or more osteotomies (e.g., wedge excision or bone wedge reversal for asymmetrical chin)
• 21123: sliding, augmentation with interpositional bone grafts (including obtaining autografts)
• 21125: Augmentation, mandibular body or angle; prosthetic material
• 21127: with bone graft, onlay or interpositional (includes obtaining autograft)
• 21137: Reduction, forehead; contouring only
• 21138: contouring and application of prosthetic material or bone graft (includes obtaining autograft)
• 21139: contouring and set back of anterior frontal sinus wall
• 21141: Reconstruction midface, LeFort I; single piece, segment movement in any direction (e.g., for Long Face Syndrome), without bone graft
• 21142: two pieces, segment movement in any direction, without bone graft
• 21143: three or more pieces, segment movement in any direction, without bone graft
• 21145: single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)
• 21146: two pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (e.g., ungrafted unilateral alveolar cleft)
• 21147: three or more pieces, segment movement in any direction requiring bone grafts (includes obtaining autografts) (e.g., ungrafted bilateral alveolar cleft or multiple osteotomies)
• 21150: Reconstruction midface, LeFort II; anterior intrusion (e.g., Treacher-Collins Syndrome)
• 21151: any direction, requiring bone grafts (includes obtaining autografts)
• 21154: Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I
• 21155: with LeFort I
• 21159: Reconstruction midface, LeFort III (extra and intra-cranial) with forehead advancement (e.g., mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I
• 21160: with LeFort I
• 21172: Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)
• 21175: Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (e.g., plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts)
• 21179: Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)
• 21180: with autograft (includes obtaining grafts)
• 21188: Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)
• 21193: Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft
• 21194: with bone graft (includes obtaining graft)
• 21195: Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation
• 21196: with internal rigid fixation
• 21198: Osteotomy, mandible, segmental;
• 21199: with genioglossus advancement
• 21206: Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard)
• 21208: Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)
• 21210: Graft, bone; nasal maxillary or malar areas (includes obtaining graft)
• 21215: mandible (includes obtaining graft)
• 21230: Graft, rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)
• 21235: ear cartilage, autogenous, to nose or ear (includes obtaining graft)
• 21244: Reconstruction of mandible, extraoral, with transosteal bone plate (e.g., mandibular staple bone plate)
• 21245: Reconstruction of mandible or maxilla, subperiosteal implant; partial
• 21246: complete
• 21247: Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (e.g., for hemifacial microsomia)
• 21248: Reconstruction of mandible or maxilla, endosteal implant (e.g., blade, cylinder); partial
• 21249: complete
• 21255: Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)
• 21270: Malar augmentation prosthetic material
• 21275: Secondary revision of orbitocraniofacial reconstruction
• 21280: Medial canthopexy (separate procedure)
• 21282: Lateral canthopexy
• 21740: Reconstructive repair of pectus excavatum or carinatum
• 30150: Rhinectomy; partial
• 30160: total
• 30400: Rhinoplasty; primary; lateral and alar cartilages and/or elevation of nasal tip
• 30410: complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip
• 30420: including major septal repair
• 30430: Rhinoplasty, secondary; minor revision (small amount of nasal tip work)
• 30435: intermediate revision (bony work with osteotomies)
• 30450: major revision (nasal tip work and osteotomies)
• 30620: Septal or other intranasal dermatoplasty (does not include obtaining graft)
• 40820: Destruction of lesion or scar of vestibule of mouth by physical methods (e.g., laser, thermal, cryo, chemical)
• 41510: Suture of tongue to lip for micrognathia (Douglas type procedure)
• 67900: Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)
• 67901: Repair of blepharoptosis; frontalis muscle technique with suture or other material
• 67902: frontalis muscle technique with fascial sling (includes obtaining fascia)
• 67903: (tarso) levator resection or advancement, internal approach
• 67904: (tarso) levator resection or advancement external approach
• 67906: superior rectus technique with fascial sling (includes obtaining fascia)
• 67908: conjunctivo-tarso-Muller's muscle-levator resection (e.g., Fasanella-Servat type)
• 67909: Reduction of overcorrection of ptosis
• 67911: Correction of lid retraction
• 69300: Otoplasty, protruding ear, with or without size reduction
• 96405: Chemotherapy administration, intralesional; up to and including 7 lesions
• 96406: more than 7 lesions
• 96921: Laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq cm
• 96922: Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm

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